Journal of AdvancedMedical and Dental Sciences Research

Destruction of the coronal portion of natural tooth is a common occurrence in academic settings. Based on the understanding of biomechanical principles a clinician must assess the remaining tooth structure and decide the most appropriate restorative options. The use of richmond crown in various texts has remained that of historical interest. We present a case of an elderly female patient whose maxillary right central incisor had fractured horizontally five years back and had developed caries within the remaining tooth structure. The tooth besides being labially inclined had also a moderate degree of distal rotation developed as a result of loss of contacts. The most challenging aspect of the restoration was to achieve desired esthetics for the artifical porcelain fused to metal crown which were successfully achieved by a richmond crown. Keywords: dental porcelain, base metal alloys, esthetics, phonetics,crown.